LAUREN M DUBBERLY (NPI# 1215204375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215204375 |
| Entity Type | Individual |
| Full Name | LAUREN M DUBBERLY |
| Credential | PA |
| Practice Address |
948 S Main St Baxley GA 31513-0138 |
| Practice Telephone | 5026633326 |
| Mailing Telephone | 5026633326 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 007777 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 10001333A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201125230 | 05 |
| Street Address |
948 S MAIN ST |
| City | BAXLEY |
| State | GA |
| Zip Code | 31513-0138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639467947 | Precision Labs II LLC | Family Medicine | 948 S Main St, Baxley, GA 31513-0138 | 2011-07-20 |
| 1164772844 | Applecare LLC | Clinic/Center | 948 S Main St, Baxley, GA 31513-0138 | 2012-09-11 |
| 1629341862 | Kimberly Ann Davis | Nurse Practitioner | 948 S Main St, Baxley, GA 31513-0138 | 2012-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723515 | Sarah Chapman Swinson | Pharmacist | 160 Azalea Rd, Baxley, GA 31513 | 2020-09-02 |
| 1225642705 | Briana Baxley Aycock | Pharmacist | 160 Azalea Road, Baxley, GA 31513 | 2020-09-02 |
| 1114493988 | Telehealth Resources, LLC | Family Medicine | 77 North Main Street, Suite B, Baxley, GA 31513 | 2018-10-19 |
| 1588155386 | Jessica Jade Stone Lamb | Counselor | 7092 Nails Ferry Rd, Baxley, GA 31513 | 2018-05-29 |
| 1942701248 | The Baxley Appling County Hospital Authority | Family Medicine | 40 Wildes Street, Surrencey, GA 31513 | 2018-02-22 |
| 1023530953 | Dental Center of Baxley | Dentist | 51 Walnut Street, Baxley, GA 31513 | 2017-07-12 |
| 1083024608 | Mctwynn, Inc | Assisted Living Facility | 111 Stephens Ave, Baxley, GA 31513 | 2014-05-05 |
| 1801239389 | East Georgia Healthcare Center Inc | Clinic/Center | 1636 Hatch Parkway South, Baxley, GA 31513 | 2013-04-15 |
| 1093057101 | Bryan Lanier Holmes Sr. | Counselor | 185 Middlewood Dr., Baxley, GA 31513 | 2013-03-27 |
| 1821378076 | Doctors of Compassionate Services | Family Medicine | 277 Lackawanna St, Baxley, GA 31513 | 2011-08-19 |
| Find all providers in zip 31513 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356576268 | Amy Nicole Causey | Physician Assistant | 9395 Ten Mile Rd, Baxley, GA 31513-9146 | 2009-05-20 |
| 1164042677 | Alivia Kristin Mcmahan | Physician Assistant | 163 E Tollison St, Baxley, GA 31513-0120 | 2020-04-24 |
| 1912527359 | Carlie R Jones | Physician Assistant | 163 E Tollison St, Baxley, GA 31513-0120 | 2020-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295657 | Hygeia Health Inc | Physician Assistant | 3983 Lavista Rd Ste 195, Tucker, GA 30084-5154 | 2020-11-06 |
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1306443346 | Margaret Howard | Physician Assistant | 1120 15th St # Ba8222, Augusta, GA 30912-0004 | 2020-10-02 |
| 1306453980 | Samantha Rose Ashmead | Physician Assistant | 2163 Mulberry St, East Point, GA 30344-1112 | 2020-09-28 |
| 1104433689 | Alexander Hartley Sprague | Physician Assistant | 244 13th St Ne Apt 208, Atlanta, GA 30309-3656 | 2020-09-28 |
| 1053928721 | Lynn Xinhui Guan | Physician Assistant | 1121 Johnson Ferry Rd Ste 420, Marietta, GA 30068-5420 | 2020-09-28 |
| 1285240010 | Kimberly Nicole Edwards Mclean | Physician Assistant | 516 Rocky Ridge Dr, Martinez, GA 30907-4988 | 2020-09-17 |
| 1588270391 | Buzzy Oguike | Physician Assistant | 4058 Akins Ridge Ct, Powder Springs, GA 30127-3272 | 2020-09-17 |
| 1972117919 | Gregory Zimmerman | Physician Assistant | 2669 Fleur De Lis Pl, Atlanta, GA 30360-1409 | 2020-09-08 |
| 1912511882 | Min Yang | Physician Assistant | 1076 Rolling Forest Ct, Lilburn, GA 30047-8931 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.